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  • Title: [Ectopic ureter as cause of pyonephrosis and urinary incontinence].
    Author: Martín MS, García-Ripoll TJ, Ruíz SA, Rodríguez GV, Ferro RJ, del Busto FE.
    Journal: Actas Urol Esp; 2008 Feb; 32(2):256-60. PubMed ID: 18409479.
    Abstract:
    Ectopic ureter accounts with an incidence of 1 in 2000 newborns. When present, ectopic ureter can be associated with duplex kidneys in an 85 % of the cases. Clinical manifestations of this malformation include incontinence and urinary tract infections. Ectopic ureter frequently occurs in association with a dysplastic upper pole renal moiety. When a poorly functioning upper pole segment is present, a standard surgical treatment is upper pole heminephrectomy. A 23-years old woman presented with left renal colic pain, fever and urinary leak. Ultrasound, intravenous pyelogram and antegrade pyelogram revealed a partial duplex right kidney and a complete duplex left kidney with hydronephrosis and ectopic insertion into the urethra of the left upper pole moiety. Following diagnosis upper pole heminephrectomy and partial ureterectomy was performed.
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